Active NPI
Riverfront Neurological Assoc LLC
- Neurology Physician
- Edgewater, NJ
National Provider Identifier
1255574794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA08113500
- Legal business name
- RIVERFRONT NEUROLOGICAL ASSOC LLC
- Practice address
- 725 River Rd
Ste 106
Edgewater, NJ 07020-1171 - Phone
- (201) 943-2273
- Fax
- (201) 215-9548
- NPI assigned
- Apr 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Yannette, CMRS
- Title
- Billing Manager
- Phone
- (201) 837-7003
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 25MA08061700 | NJ | |
| Neurology Physician | 2084N0400X | 25MA08113500 | NJ | Primary |
Addresses
Primary practice location
725 River Rd
Ste 106
Edgewater, NJ 07020-1171
Mailing address
725 River Rd
Ste 106
Edgewater, NJ 07020-1171
Phone (201) 943-2273
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neurophysiology Physician
- Fair Lawn, NJ
- NPI 1154372621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1255574794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 RIVER RD",
"address_2": "STE 106",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201171",
"telephone_number": "201-943-2273",
"fax_number": "201-215-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD",
"address_2": "STE 106",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201171",
"telephone_number": "201-943-2273",
"fax_number": "201-215-9548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERFRONT NEUROLOGICAL ASSOC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-14",
"last_updated": "2009-04-14",
"status": "A",
"authorized_official_last_name": "YANNETTE",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "201-837-7003",
"authorized_official_credential": "CMRS"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "NJ",
"license": "25MA08061700",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA08113500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.